Individual provider Active NPI

Christopher Ross, LCPC, LADC, CCS

  • Mental Health Counselor
  • Yarmouth, ME
National Provider Identifier
1841647740
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC5361 Issued in ME
Practice address
26 School St
Yarmouth, ME 04096-4709
Phone
(207) 332-9462
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC6671 ME
Mental Health Counselor 101YM0800X CC5361 ME Primary

Addresses

Primary practice location

26 School St
Yarmouth, ME 04096-4709

Mailing address

75 Lawrence Rd Apt a
Gray, ME 04039-9576
Phone (207) 751-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC6671MEMDAddiction (Substance Use Disorder) Counselor
CC5361MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Mind Counseling LLC Addiction (Substance Use Disorder) Current Accepting new patients
Catholic Charities Maine Addiction (Substance Use Disorder) PastSince Oct 8, 2015 Accepting new patients
Catholic Charities Maine Past Accepting new patients

Locations

26 School St
Yarmouth, ME 04096
Phone (207) 846-6212

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1841647740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LAWRENCE RD APT A",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399576",
            "telephone_number": "207-751-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SCHOOL ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964709",
            "telephone_number": "207-332-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CHRISTOPHER",
        "credential": "LCPC, LADC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6671",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC5361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.